Job Details

Description

We are looking to grow our team! RevCycle has been in business for over 30 years, and we are extremely focused on developing our employees allowing them to reach their full potential! Work remotely or from our Marshfield, WI office location.

Position Summary:

This position is responsible for managing pre-service insurance reviews for our healthcare clients. Representatives will work in a company office or home office environment. The Representative will manage inquiries and concerns related to insurance with the goal of processing each account with accuracy to facilitate successful insurance registration and claims processing. They will learn through classroom training, on-the-job experience and management guidance. They will operate with minimal management guidance to exceed Key Performance Indicators for incoming and outgoing calls, and call review scores. This role is expected to follow company and client policies, procedures, and applicable laws.

Hours: Full Time, Mon-Fri 8:00 AM-5:00 PM CST (9:00 AM-6:00 PM EST)

Benefits:

• Paid Medical insurance includes personalized assistance to select from any qualified options in the marketplace. This enables you to select a plan which is most likely to enable you keeping coverage for things most important to you (i.e., Dr., clinic, meds).
• Additional options for Dental/Vision, paid short-term disability and life insurance benefits.
• Generous PTO (3 weeks per year) plus holiday pay and make-up time benefits begin within month three of employment
• 401K
• Company shares profits through an annual discretionary bonus which employees can have in full or deposit (some or all) into their 401k.

Essential Duties and Responsibilities:

• Take calls from patients, insurance companies, and other outside facilities to resolve complex insurance issues
• Answers insurance questions on eligibility issues
• Uses of required scripts/verbatims, skillfully navigating guidelines to maximize potential recovery on each call
• Meets Key Performance Indicators for accuracy in navigating health plans, outbound calls, and inbound calls.
• Maintains and performs working understanding of account documentation requirements including notes and codes, making few errors, and requiring less assistance
• Skillfully works within the systems and programs used for client services in real time
• Adheres to company Core Values and Strategic Anchors
• Exceeds performance threshold in annual and/or other performance reviews

Required Knowledge, Skills and Abilities:

• Prior work experience in a call center and healthcare customer service setting is preferred
• Familiarity with Artiva and Cerner Soarian application is preferred
• Working knowledge of medical billing and coding is preferred
• Prior work experience in a medical office and/or general understanding of health insurance is preferred
• Prior Supervisory experience is welcome in this growing company
• Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools
• Able to navigate multiple computer applications and databases.
• Able to communicate on the phone and navigate multiple computer systems simultaneously
• Reliable and responsible. Arrives on time and uses time productively
• Possesses and demonstrates professional judgement and client services business acumen
• Understands sensitive personal information (SPI) and sensitive consumer information (i.e., Protected Health Information (PHI)) while maintaining the confidentiality of this information
• Able to use tools provided to compute basic math calculations using addition, subtraction, multiplication, division, and percentages
• Self-motivation and committed to career success

Education and Experience, Other:

High School Diploma or equivalent (i.e., GED) required.

Work Environment:

Employee works in a company office and/or home office and sits at a desk during regularly scheduled work hours. Employee will work with an online team utilizing screen monitoring and/or video conferencing. Employee answers and makes telephone calls using a computerized telephone; types on a standard keyboard; reads and comprehends information from a computer terminal and/or written resources. Employee may occasionally be required to stand or walk short distances along with bend or twist to access lower and higher desk drawers.